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Home and Community Based Services Waiver Individualized Care Coordination ICC Contact Tracking Log Name of Individual Agency Name In order to bill Medicaid for full monthly rate the ICC must make a minimum of six 6 qualifying face to face contacts of a minimum of 15 minutes each in a calendar month. At least three 3 of those contacts must be with the child. The remaining contacts to make the minimum of six must be with collaterals identified in the child s service plan. Face-to-Face Contact s...
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What is home and community based?
Home and community-based services (HCBS) are designed to help individuals with disabilities or chronic conditions live independently and avoid institutionalization by providing supports in their home and community.
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Information that may need to be reported on HCBS includes medical history, disabilities, support needs, preferences, financial information, and contact details.
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